1. Redbridge First Response Service Bushra Baig- Daykin ReFRS, Information & Advice Development Manager Redbridge Adult Social Services

2. Redbridge First Response Service The Redbridge First Response Service (ReFRS) co –ordinates access to universal information, advice and preventative services through one single point of contact for people in the early stages of their needs.

3. ReFRS Partners 1. Action on Hearing Loss 2. Active Stars 3. Age UK Redbridge 4. Alzheimer's Society 5. AWAZ 6. Barnardos- Indigo Project 7. Bogus Callers Partnership 8. Carers Trust 9. Citizens Advice Bureau 10. Children's Centres 11. Community meals 12. Community Safety Team 13. Disabled Asian Women’s Network 14. Disabled Women’s Welfare Association 15. East London Vision (ELVis) 16. Energy Management Unit 17. FiND ( Families Information Direct) 18. Forest Farm Peace Group 19.Housing Advice Centre LBR 20. Handy Persons Scheme 21. Informed Families 22. Jewish Care 24. London Ambulance Service 24. London Fire Brigade 25. Life Line and Tele care Service 26. Living Well Resource Centre 27. Multiple Scoliosis Society 28.New Common Wealth Women's Group 30. Payments & Benefits Team 31. Penrose Options 32. Police 31. R3( Drug & Alcohol Outreach/Counselling)

4. ReFRS Partners cont. 33. Redbridge Asian Mandal (RAM) 34. Redbridge Access and Assessment Team(NELFT) 35. Redbridge Carers Support Service 36. Redbridge Concern for Mental Health 37. Redbridge Council for Voluntary Services 38. Redbridge Faith Forum 39.Redbridge Forum 40. Redbridge Guajarati Welfare Association 41. Redbridge Institute for Adult Education 42.Redbridge Equalities and Communities Council 43. Redbridge Respite & Care Association 44. Redbridge Talking Newspaper 45.Richmond Fellowship 46.. Royal British Legion 47.Silver Line 48.Sycamore Trust 49. SHP (Single Homelessness Project 50. Smoking Cessation (NHS) 51.Stroke Association 52. STAAR (Supporting those with Autism & Aspergers) 53. Trading Standards 54.Work Redbridge 55. Uniting Friends 56. Victim Support 57. Vision Culture & Leisure

5. Redbridge First Response Service

7. How it works NEED IDENTIFIED CHECKLIST COMPLETE D AND RETURNED CONTACT MADE WITH THE SERVICE USER REFERRALS SENT TO PARTNERS OUTCOME RECEIVED Service user Service user

8. Case example 1 Mr T is 80 years old. He lives by himself and has a hearing impairment. Mr T regularly attended his GP’s surgery for minor ailments. Mr T was referred to ReFRS for the following support: Falls Prevention Information, Life Line, Social activities, hearing and visual Impairment support, & housing repairs. As a result of the referral to ReFRS: ● A Lifeline was installed by Life Line & Tele care. ● Handy Persons Scheme repaired a curtain track. ● Befriending, social activities and falls prevention information provided by Age UK. ● Information about The Angling Club, Read Aloud Group at Gants Hill Library and Books on Wheels sent to Mr T by Vision Leisure & Culture. ● Adult Social Services installed grab rails. ● Information about social groups and support provided by Action on Hearing Loss.

9. Case example 2 Miss C is the only carer for her child who has autism. Miss C also has anxiety and depression. She was referred to ReFRS by her GP for: Carers Support, Children ’ s Information/Activities/ Fire Risk & Social Activities As a result of the referral to ReFRS: ● Redbridge Carers Support Service contacted Miss C to offer advice and information about her caring role. ● Miss C ’ s son was referred to Redbridge Forum who located a football club for him to attend. A membership pack was also sent for Miss C ’ s son to register with the young people with autism group. ● Miss C registered with her local Children's Centre and workshops. ● The London Fire Brigade installed a smoke alarm and carried out a safety check. ● Redbridge Concern for Mental Health offered her information and advice about groups that she could attend for support.

10. Long term outcomes Better solutions Needs met at an early stage through ReFRS Low level support/ informatio n Prevention of long term health conditions Increased well being Increased financial stability Prevention from a fire related death Prevention from becoming a victim of crime Improved wellbeing and quality of life Increased independence

11. Statistics

12. Organisations that referred to ReFRS

13. Referrals sent to Partner organisations

14. Service user needs

15. Service user background

16. Feedback

17. Feedback from professionals ● ”An excellent example of joint health and social care work. Please apply for an award!”. (GP Newbury Park) ● “ Very professional, quick and helpful. Patient feedback has been excellent. (GP Woodford) ● ReFRS is invaluable in allowing us to provide advice to the most vulnerable members of our community, who ordinarily we may never interact with (Steve Brown, Borough Commander, Redbridge LFB) ● “I am delighted that this scheme is being widely used by police officers and staff on the Borough. (Sue Williams, Borough Commander, MPS Redbridge) ● “I believe ReFRS to be ascertaining some of the more covert Carers. It is also encouraging to see how many of the referrals have been made by GP’s”.(Shamshia Ali, Senior Services Manager, Redbridge Carers Support Service)

18. Feedback from service users ● 93% rated ReFRS as Good or Excellent ● “I would have been lost without ReFRS, I don’t know where I would have gone.” (Service User) ● “I feel safer because someone listened.” ( Service User) ● 100% of service users stated they were satisfied with the referrals made to organisations on their behalf ● 100% of service users stated that it was easier for organisations to contact them directly rather than having to find their details themselves.

19. Predicted cost savings Total cost for ReFRS: £77,571.52 Per Annum (24 areas of support provided) Fire Safety A Home Fire Safety Visit is one way of driving down instances of accidental dwelling fires, reducing deaths and injuries. The cost of a fire, together with death or injury is significant. The cost estimated for a single dwelling fire, and averages at £38k. If there are injuries or a death the social and economic cost escalates and some calculations use £1.7million for a death. The number of service users that were referred by ReFRS to the LFB for a Home Fire Safety Visit were 36 people. Therefore the total economic estimated preventable savings associated between £1,368,000- £612 million (London Fire Brigade, Redbridge Statistics)

20. Predicted cost savings (cont.) Falls Prevention Advice & Information ● Falls are common in older people due to other health problems, such are reduced vision, poor mobility and balance problems. ● A fall can cause a hip fracture if a person has osteoporosis. ● One in three people die within 12 months of fracturing their hip most deaths aren't caused by the fall itself but by pre-existing illnesses. It is estimated that the cost of one hip fracture is approximately £12,000. ReFRS identified 46 people over a period of one year who were referred to the Age UK for falls prevention advice and support. If we estimate that this information may have prevented the referred service users from falling, the cost benefit of this would be: £552,000 per annum. (The Cost of Treating Osteoporotic Fractures in the United Kingdom Female Population P. Dolan and D. J.Torgerson. Centre for Health Economics, University of York, York.com) Population

21. Benefits Whole system approach Nationally recognised award for innovation Innovative & cost effective solution Productive pathway for GP’s & emergency services. Positive feedback from SU & Partners